Exhibition/Event Registration Open Doors: Exhibition/Event Registration 1 Accept Terms2 Registration Form NAC asks that your exhibition space be open to the public throughout both event weekends where feasible. Revisions to your application or notice of cancellation must be submitted to firstname.lastname@example.org no later than July 15th, 2015. Any changes or cancellations submitted after 7/15/15 will not be accommodated in any printed publications or event listings. NAC does not provide financial support for exhibitions or events. Incomplete applications will not be reviewed. If you are seeking space for an exhibition space or event, please return to the Open Doors landing page and fill out the Special Project Proposal form.Accepted Terms* I have read and agree to the terms. Contact InformationName* First Last Phone (day)*Phone (cell)*Email* Venue InformationVenue Name*Contact person at Venue* First Last Venue Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Cross streets*Venue E-mail* Venue Phone*Venue Website Exhibit / Event InformationExhibit / Event Title*Exhibit / Event Type*ExhibitionSpecial EventPublic ProjectDate of Opening Reception* Date of Event / Project* Start Time* : HH MM AM PM End Time* : HH MM AM PM Date of Closing Reception Start Time (Closing Reception) : HH MM AM PM End Time (Closing Reception) : HH MM AM PM Dates on Views*Example: March 3rd to April 10thGallery Hours*Example: M-F 10AM to 6PMApproved Staff*Please list an artist, curator, or staff person approved for media interviews. Include their full name and direct contact information.Exhibit / Event Description*Abbreviated Exhibit / Event Description*Confirmed artists / performers*List all confirmed artists or performers, to date.Image SubmissionPlease submit a high resolution vector logo and up to 3, 300 DPI images. Accepted filetypes: .ai .pdf .eps .jpg .jpeg .gif .pngLogo*Accepted file types: ai, pdf, eps, jpg, jpeg, gif, png.How many images will you be submitting?*123Image 1File** File names should be formatted as Gallery_Artist_TitleTitle of work*Artist*Dimensions*Medium*Image 2File** File names should be formatted as Gallery_Artist_TitleTitle of work*Artist*Dimensions*Medium*Image 3File** File names should be formatted as Gallery_Artist_TitleTitle of work*Artist*Dimensions*Medium* This iframe contains the logic required to handle AJAX powered Gravity Forms.